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HomeMy WebLinkAbout26373-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26061 Date: 03/06/00 THIS CERTIFIES that the building ADDITION Location of Property: PETERS WAY FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 6 Block 2 Lot 3.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 2000 pursuant to which Building Permit No. 26373-Z dated MARCH 6, 2000 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to JAMES R & AMY L SUEDMEIER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A '~ / ~u~orized~ Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26373 Z Date MARCH 6, 2000 Permission is hereby granted to: JAMES R & AMY L SUEDMEIER PO BOX 48 FISHERS ISLAND,NY 06390 for : CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" at premises located at PETERS WAY County Tax Map No. 473889 Section 006 Block pursuant to application dated MARCH 3, 2000 FISHERS ISLAND 0002 Lot No. 003.003 and approved by the Building Inspector. Fee $ 75.00 riz/9~ Signature Rev. 2/19/98 ORIGINAL TOWN 0F SOUTHOLD BUILDING DEPARTMENT TOkrN H_ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~NCY This application must b~ filled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installaeion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a nertificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees !. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinM Buildin~ - $100.00 3. Copy of Certificate of Occupancy - , .25~. A. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate 3. l 0. ~oaa~ion of P~opert~ll ....................... ~'~'4~11q~¥~,~...~.,,,~ .................................. House No. Stre~et ' Ha~et Onwer or O~ors of Property ...... ~ .~ ~ .. ~ 0oo, ...... ......... .... ........... Realzh Deot Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ ~equesr 5or: Temporary Certificate ........... Final Cern±cate ........... Co~ ~06 ~ / / -,,it 1 L ~ent by: BAKER ELECTRIC INC 15152882226~ 0~/03,'08 8:08; ]¢JJ~_~232;~ege 4/'5 Sent by: BAKEP ELEOTRIO INC 15152882228; 03/03/00 8:08; I _L___ ,%ffolk County Recording & Endorsement Page (SPECIFY TYp[.~ Gl* [ N~'rr(~' ) 8UVI42LK COI~, NEW YOR~ ~Jl,)X hs .t 'l'l,li[tl ~) Mi IS I' llE IS'PED OR I'RI Mi'~ IN ~[.AC< INK Of~Y PI~[OI( 'f'O ~O~DIN6 OR ~#232;Pago 5/5 Bent by: BAKER ELEOTRIO ~NC CI° ConIrol [nsl~.ll~lions of Iowa, lnc, 15152882228; 03/03/00 8:09; ~ItjF~L_#232;Pag~ /5 PAX ($1~) 288-2226 · FOR~ HO TOI~ 017 SOUTBOLD BUILDING TOI~lg SOUTIIOLD, I1.¥. 11971 'TBL: 765-1802 BOARD OF i]I~ALTIB... ........ - -- · ~ se~s o.~s ......... ' ...... SURVEY ~ ...................... c~c~ .~..5~&2 .............. SEPTIC t~OIRl ................... HOTIF¥: CALL .................. HA~L TO: .................... Plumbers Licen°~ Blectricians License lb ...................... (~ 7-~ rT~-~le~.t'~ ... Street ~ ~ ~. ~ ~-~.~..., ........ ~ .... ~a ....... ~, ..--.,~ ~ivisi~ ..... ~..~,~..: .......... -"Fzl~ ~.~ ................ ~t ........ ....... (~) 2. S~te ~sti~ ~ ~ ~o~ O[ ~ ~1~ ~ ~~ ~ P~ ~. ~.,~ ~ ~ ~ ........... ~ ~~ ~,,.~~~~....~.~.,,,~ ............................. ,' ~ J . . ~ ~H o~ .................................. ffatur~ of ~ork (c~*ck ~hich appll~able)t ~ ~tldi~ .. ........ ~i~i~ ~,~ ~Ceract~ .......... ~th .................... ~t~ .................... ~r~ of Stories ............... ~t~t ......................... ~r of States ..................... I0. ~te o~ ~a~ : ~ of Four ~t ~OT ~r interior or ~t lot. mmm~ i11km N ~ STATE OONITNUGI~ & INlNff CODE& NOT ~~ F~ swor~, deposes end says that be is tie applicant Ile is tl.~ ...................................................................................... (Co~ts*actot~J~t, torture ofitcec, etc.) of ~d mr ~ mca, ~ is ~ly ~t~ri~ to ~rfom or h~ ~rf~ ~m ~{d ~ ~ to ~ke ~ file this ~mt ~ ~ will ~ ~r~ in ~e ~e~,~r ~t f~th ~ ~e ~lt~ti~ fil~ ~. ,o~orn to before me this : (Signature of Apptiemnt)